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Cited by 63Substance Abuse Treatment and OutcomesAlcohol Consumption and Health EffectsHealth Promotion and Cardiovascular Prevention

A randomized study of secondary prevention of early stage problem drinkers in primary health care

ROMELSJÖ, ANDERS, ANDERSSON, LENA, BARRNER, HAKAN, BORG, STEFAN, GRANSTRAND, CLAES, HULTMAN, OLLE, HÄSSLER, ANNIKA, KäLLQUIST, ANNA +7 more·1989·British Journal of Addiction
DOI 10.1111/j.1360-0443.1989.tb00733.x
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Abstract

The subjects were recruited from participants in a health examination of random samples of the adult population in Stockholm county. Those aged 18-64 years who admitted a high alcohol consumption (greater than 40 g 100% ethanol/day) among men and greater than 30 g among women) or had an elevated value of serum-gammaglutamyltransferase (GGT) (cut-off point 1.0 microkatal/l for men and 0.6 microkatal/l for women) or had certain other indications of a high alcohol consumption were included. More severe cases, and those with an elevated GGT due to reasons other than alcohol, were excluded. The remaining subjects, 70 men and 13 women, were allocated at random to either an intervention or a comparison group. An elevated GGT was the main inclusion criteria. The subjects in the comparison group were advised by the general practitioner to cut their alcohol consumption, while those in the intervention group made further visits to their general practitioner, who gave general support and used an elevated GGT as an indication of the recent level of alcohol consumption at consecutive visits. There were three visits on average, so we are comparing a group receiving advice with a group receiving further minimal intervention. At the one-year follow-up there were greater, however not significant, reduction in GGT-level, in self-reported alcohol consumption and in a 'problem index' in the minimal intervention group than in the comparison group.

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Crossref · 10.1111/j.1360-0443.1989.tb00733.x

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31 of 31 references verified0 citation errors · 0 not checkable

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  • Efficacy/effectiveness scores ranged from 4.5 to 12.

    “Efficacy/effectiveness scores ranged from 4.5 (Beckham 2007;Fleming 2004;Romelsjö 1989) to 12 (Lock 2006).”

    From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as Romelsjö 1989

  • Romelsjö 1989 reported change scores whereas the other studies reported final values; only three studies reported GGT at 12 months.

    “Romelsjö 1989 reported change scores whereas the other studies reported final values; only three studies reported at 12 months.”

    From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as Romelsjö 1989

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Authors
ROMELSJÖ, A., ANDERSSON, L., BARRNER, H., BORG, S., GRANSTRAND, C., HULTMAN, O., HÄSSLER, A., KäLLQUIST, A., MAGNUSSON, P., MORGELL, R., NYMAN, K., OLOFSSON, A., OLSSON, E., RHEDIN, A., & WIKBLAD, O.
Affiliations
  • Karolinska Institutet (SE)
  • Healthcare in Sweden (SE)
ORCID
BORG, STEFAN
Venue
British Journal of Addiction
Publisher
Wiley
Published
1989-11
Volume
84
Issue
11
Pages
1319-1327
ISSN
  • 0952-0481 (ISSN-L)
  • 2056-5178
DOI
10.1111/j.1360-0443.1989.tb00733.x
OpenAlex
W1969403300
Cited by
63
References
31
Citations by year
2020: 1 · 2018: 1 · 2016: 1 · 2015: 1 · 2014: 1
FWCI
1.11
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 5928 d)
Locations
  • British Journal of Addiction (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
Keywords
secondary prevention, problem drinking, alcohol consumption, serum gamma-glutamyltransferase, minimal intervention, general practitioner advice, primary care, alcoholic liver disease, self-reported alcohol intake
MeSH terms
Adolescent, Adult, Alcoholism, Cross-Sectional Studies, Female, Humans, Liver Diseases, Alcoholic, Male, Middle Aged, Patient Education as Topic, Primary Health Care, Referral and Consultation, Sweden

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